Learning Objectives

Pain in Infancy & Childhood: A short and long term view
Maria Fitzgerald, BA PhD FMedSci
At the end of this session, the participant will:

  • Understand that pain in infants and children differs from that in adults.
  • Pain pathways in the spinal cord and brain undergo a series of developmental changes over infancy & childhood that impact upon pain measurement, pain sensitivity and pain treatment.
  • Nerve injury and tissue inflammation in early life can have long term consequences upon pain processing in later life.

Developmental Pharmacokinetics / Pharmacodynamics of Parenteral Opiates and NSAIDS in Infants: What are the problems?
Anne M. Lynn, MD
During this session, the participant will:

  • Review pharmacokinetics of commonly used opiates (especially morphine and fentanyl) in infants.
  • Review pharmacokinetics of ketorolac in infants.
  • Present possible explanations hampering use of analgesics in infants.

Children at Home with Regional Catheters
Arjunan Ganesh, MBBS
At the end of this session, the participant will:

  • Be familiar with the indications for ambulatory continuous perineural infusions (CPNI).
  • Understand the steps involved in development and monitoring of an ambulatory CPNI program.
  • Learn the common problems encountered with ambulatory CPNI and the management of the same.

Avoiding Adverse Events in Regional Anesthesia – Best Practice
David M. Polaner, MD, FAAP
At the end of this session, the participant will:

  • Appreciate what the most common adverse events are in pediatric regional anesthesia.
  • Discern why particular blocks and practices might be associated with more or fewer complications. or adverse events.
  • Devise strategies for measuring and mitigating adverse events and improving quality and outcomes.

Pain Management for Minimal Invasive Procedures
Constance S. Houck, MD
During this session, the participant will:

  • Review the recent literature elucidating the amount and sources of pain with minimally invasive surgery.
  • Outline recent studies on techniques to reduce shoulder pain and diffuse abdominal pain after laparoscopic surgery.
  • List techniques that have been found to be effective in reducing pain after laparoscopic and thoracoscopic surgery and facilitating earlier hospital discharge.

Roundtable Discussion with Lunch (Limited to 20 people)
What Has Recent Research Told Us About the Measurement and Treatment of Infant Pain?
Maria Fitzgerald, BA, PhD, FMedSci
At the end of this session, the participant will understand:

  • Current measures of infant pain and analgesia rely on composite scores made up of behavioral observations and physiological measures.
  • Recent research has focused upon direct measures of brain activity following painful procedures.
  • These new methodologies provide new insights into pain activity in the human infant cortex and are likely to provide better measures of analgesic efficacy.

Prescription Drug Abuse in Teenagers and Risk Assessment: Current controversies
Jeffrey L. Galinkin, MD, FAAP
At the end of this session, the participant will be able to:

  • Describe current abuse patterns for prescription drugs in adolescents.
  • Describe current modifications to prescription drugs to prevent abuse.
  • Understand the pros and cons of toxicology testing to prevent diversion and abuse and check compliance in adolescent patients.

Drug Diversion by Your Patient: REMS and YOU: The Opioid Prescribing Physician
Keith Berge, MD
At the end of this session, the participant will be able to:

  • Describe the nature of the evolving epidemic of addiction created by the diversion of prescription opioid medications in the US.
  • Understand how this negatively affects patients, addicted healthcare workers, co-workers, employers, and society at large.
  • Understand workable systems to more effectively prevent and identify the diversion of drugs from the healthcare workplace, and know what resources are available to create such systems.

Peripheral Nerve Blocks vs. Central Blocks
Stephen R. Hays, MD vs. Constance L. Monitto, MD

Peripheral Nerve Block - Stephen R. Hays, MD, FAAP
At the end of this session, the participant will be able to:

  • Review historical development of and current indications for peripheral nerve catheters in children.
  • Discuss contraindications to and potential complications of peripheral nerve catheters in patients of any age.
  • Reach informed conclusions regarding the appropriate role of peripheral nerve catheters in pediatric perioperative pain management.

Central Nerve Block - Constance L. Monitto, MD
At the end of this session, the participant will be able to:

  • Review history of neuraxial catheter use in pediatric perioperative pain management.
  • Review current indications and appropriate role of neuraxial catheters in children.
  • Discuss contraindications to and potential complications of neuraxial catheters in children.

WORKSHOPS

Developing a Pediatric Pain Program Workshop (SPPM)
Sabine Kost-Byerly, MD, FAAP; Giovanni Cucchiaro, MD, MPP; Alexandra Szabova, MD
At the end of this workshop, the participant will be able to:

  • Describe institutional needs and potential stakeholders.
  • Present appropriate staffing and clinical care solutions.
  • Identify components of a successful QA/QI program.

Acupuncture Pain Management Workshop (SPA)
Yuan-Chi Lin, MD, MPH; Rosalie Tassone, MD, MPH
Upon completion of this workshop, participants will have an enhanced knowledge of acupuncture and have an opportunity to integrate acupuncture for the practice of pediatric pain medicine. Participants will be able to learn the principles of acupuncture; understand current practice of acupuncture in pediatric pain management. Attendees will participate in hands-on demonstration of acupuncture and related techniques.

Advanced Ultrasound Guided Regional Anesthesia (SPA)
Senior Faculty: Santhanam Suresh, MD; Amod Sawardear, MD; Adrian T. Bosenberg, MB, ChB, FFA; Arjunan Ganesh, MBBS. Junior Faculty: Karen R. Boretsky, MD; Jami Eidem, MD; Alan Bielsky, MD; Benjamin J. Walker, MD
Upon completion of this low faculty-to-attendee ratio workshop, the participant will have an understanding of:

  • Basic functions of the Ultrasound and probes.
  • Differentiation machine settings for various age groups.
  • Anatomy using Ultrasound guidance of all peripheral nerve blocks including upper and lower extremity, truncal, and central neuraxial blocks.
  • Scanning and performing the most common peripheral nerve and central neuraxial blocks utilized in pediatric anesthesia practice.

PROBLEM BASED LEARNING DISCUSSIONS (PBLDS)

Problem-based learning discussions will offer the opportunity for group discussion with faculty and other attendees of common clinical problems. The format will highlight aspects of decision-making in acute and chronic pediatric pain medicine, including potential dilemmas in patient evaluation, interdisciplinary management, research, ethics, and regulatory environments.

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